Doctor insights on:
Emergency Treatment For Atrial Fibrillation
Depends : it depends on how many other diseases you have. For the people with the highest risk, it can cause strokes, which can be deadly. Anyone with this condition needs to see a Cardiologist. ...Read more
Atrial fibrillation: Afib is a rapid irregular heart rhythm which can decrease heart efficiency as much as 20% in some patients. It can also be associated with clotting and clots travelling around the body to cause stroke or other problems. Some people have atrial fibrillation as their normal rhythm. We use drugs to control rate, rhythm and if not successful, ablation therapy by electrophysiologist. ...Read more
Meds, Cardioversion: Treatment depends on the patient's presentation. For someone with rapid atrial fibrillation who has a stable blood pressure the treatment is often IV medications used to slow the heart rate. The first drug is usually IV diltiazem/cardizem or a beta blocker. For patients with rapid a-fib and low blood pressure, immediate cardioversion may be needed. ...Read moreSee 1 more doctor answer
For young (<60), asymptomatic, paroxysmal atrial fibrillation patients on NOACs with LVH, should the patient seek out catheter ablation for treatment?
Depends: on left atrial size and function, frequency. Ablation is a big deal and frequently unsuccessful. I would try to suppress with a beta blocker like Bystolic, get magnesium level to 2.1-2.4, potassium to 4.1-4.5, stay off stimulants/alcohol, use hawthorne berry, avoid many other supplements, get general labs checked. Why the LVH? HRS, MD, FACC. www.thepmc.org ...Read more
Ventricular fib: Vf is worse; it usually causes cardiac arrest which is often fatal. Atrial fibrillation, while not as severe, also has significant health risks. It increases the risk of stroke, which can be disabling or fatal. Additionally, if the af causes a fast pulse for a prolonged period of time, this may lead to weakening of the heart and cause heart failure. ...Read moreSee 2 more doctor answers
Define better please: What does better mean? Initial atrial flutter ablation success rates run around 80-85%. This for the typical flutter variety. A form of atrial flutter called atypical atrial flutter has a much lower success rate. But ablation is invasive, meaning there is inherent risk such as perforation of the heart, pericardial effusion, need for permanent pacemaker implantation, etc. Such risks are very rare ...Read moreSee 1 more doctor answer
See below: All patients with atrial fibrillation should be placed on anticoagulants to decrease the risk of blood clots from the atrium. Drugs like warfarin or the newer drugs such as 10a inhibitors are used. Drugs such as beta blockers or calcium channel blockers are used to control the heart rate. Other drugs such as amiodarone or sotalol are used to try to convert atrial fibrillation back to sinus rhythm. ...Read moreSee 1 more doctor answer
Yes: Vagal-mediated atrial fibrillation typically occurs at night while people are sleeping or may occur when drinking something cold or going to the bathroom. An antiarrhythmic called norpace, or disopyramide, works well in this situation, as it has anti-vagal properties. ...Read moreSee 1 more doctor answer
Definitive Control: We don't generally do this with surgery, but rather with a "catheter" based procedure (wire we thread into the heart that cauterizes the av node). This procedure provides complete control of the heart rate in the lower chamber and excellent symptom control, but makes people dependent on the pacemaker that *must* be implanted with this procedure. ...Read moreSee 3 more doctor answers
It Varies.: The most important treatment is stroke prevention, which is usually done by medications (aspirin or warfarin). Sometimes rate control medications are used, like metoprolol. If the af is severe enough, stronger anti-arrhythmic medications are used, like propafenone. If these do not work, catheter ablation may be recommended. Pacemaker and av-node ablation may be used as a last resort. ...Read moreSee 2 more doctor answers
New Guidelines: This is somewhat complex and will not all fit in 400 characters so I am creating initials. 1. Ischemic cardiomyopathy, i.C., with ejection fraction, ef, >30% but <35%, newyork heartassoc, nyha, class ii or iii, and >30 days post mi/revascularization. 2. Ic, ef <30%. 3. Ic, ef between 36-40% with inducible ventricular fibrillation or tachycardia, 4. Non-ic with ef <35% and nyha class ii or greater. ...Read moreSee 1 more doctor answer
What makes atrial fibrillation not immediately life threatening while ventricular fibrillation is?
A circuit breaker: The rhythms in the top chamber during atrial fibrillation can reach and exceed 600 bpm. If this were conducted directly to the lower chamber, it would be as fatal as ventricular fibrillation. However, nature built in a circuit breaker called the av node between the two such that only some of the top chamber heartbeats in fibrillation make it to the bottom chamber. ...Read moreSee 1 more doctor answer
Beside taking arrhythmia medicines, what are other option for atrial fibrillation? Does a pace maker or defibrillator cure a fib?
Ablation: Catheter ablation (pulmonary vein isolation) can be curative. Although not curative, an av node ablation in combination with a pacemaker or defibrillator can usually eliminate the symptoms of atrial fibrillation. If you have obstructive sleep apnea using CPAP can greatly improve atrial fibrillation. ...Read moreSee 1 more doctor answer
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